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Impulsiveness, Violence, Suicide and Homicide SUICIDE – Risk factors: Awareness of the illness, Male sex, College education, Young age A change in the course of the disease Improvement after a relapse Dependence on the hospital Overly high ambitions Previous suicide attempts early in the course of the disease Living alone

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Impulsiveness, Violence, Suicide and Homicide HOMICIDE – Same incidence as in general population – Unpredictable or bizarre reasons based on hallucinations or delusions – Possible predictors: History of previous violence Dangerous behavior while hospitalized Hallucinations or delusions involving such violence

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SENSORIUM AND COGNITION Diagnostic Tests

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Orientation Usually oriented to person, time, and place Some may give incorrect or bizarre answers – “I am Christ; this is heaven; and it is AD 35.”